Kids Life Day Care

3270.32(a)/3270.192(2)(ii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of childcare experience, education and training prior to service at the facility.

Staff Person #3 did not complete Mandated Reporter training within 90 days of their hire date. (SEE LIS CODE SHEET)

Corrected by Oct 24, 2025

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person #3 had not completed the following required pre-service training within 90 days of their date of hire (SEE LIS CODE SHEET): Pediatric First aid/Pediatric CPR training (Dated: 06.30.2025) and Health and Safety, Part 1 and Part 2, (Dated: 07.09.2025 and 07.16.2025, respectively.)

Corrected by Oct 24, 2025

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The Child Abuse Clearance and NSOR Certificate in the file(s) for staff #3 were dated after their Date of Hire. (SEE LIS CODE SHEET) The Disclosure Statement in the file(s) for Staff Person(s) #2 was/were completed on the incorrect form. (SEE LIS CODE SHEET) The Disclosure Statement in the file(s) for Staff Person(s) #3 was/were completed after their Date of Hire. (SEE LIS CODE SHEET)

Corrected by Oct 24, 2025

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3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file(s) for Staff #3 did not include hours/years of experience in childcare. (SEE LIS CODE SHEET)

Corrected by Oct 30, 2025

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3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

First aid kits in the facility lacked gauze pads.

Corrected by Oct 24, 2025

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3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In the older toddler room, plaster was observed to be damaged from the wall behind the door as a result of repeated contact from the door handle.

Corrected by Oct 30, 2025

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3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for Staff #3 contained a health assessment dated 07.15.2025, which was completed after their hire date. (SEE LIS CODE SHEET)

Corrected by Oct 24, 2025

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3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The two most recent Emergency Plan Trainings for Staff #3, #4, #6, #7 and #8 were dated more than 12-months apart. (SEE LIS CODE SHEET)

Corrected by May 8, 2025

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person #1, #2 and #3 had not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR Training (Staff #1dated: 01.20.2025), (Staff #2 dated: 01.15.2024 and (Staff #3 dated: 04.12.2024). (SEE LIS CODE SHEET)

Corrected by May 8, 2025

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3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of childcare experience, education and training following the outset of service at the facility.

Mandated Reporter Training for staff #3 was dated more than 60 months ago. The Disclosure Statement in the file for Staff #1 was dated after Staff #1's Date of Hire. (SEE LIS CODE SHEET)

Corrected by May 8, 2025

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3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The two most recent staff evaluations for Staff #2 and #4 were completed more than one year apart. (SEE LIS CODE SHEET)

Corrected by May 8, 2025

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3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The file for Child #1 (OT) had an Updated Health Assessment more than 12 months past the initial health assessment. (SEE LIS CODE SHEET)

Corrected by May 8, 2025

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

A tube of Nystatin labeled for Child #3 (03.2025), a bottle of liquid Acetaminophen for Children #5 (02.2025) and Child #7 (03.2025) was observed to be expired. was observed to lack written parental consent for administration. An unlabeled tube of Nystatin, reported to be intended for Child #3 was observed to lack written parental consent for administration. A bottle of liquid Ibuprofen labeled for Child #4 was observed to lack written parental consent for administration. An inhaler labeled for Child #6 was observed to lack written parental consent for administration and was expired (11.2024).

Corrected by May 8, 2025

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3270.133(7)(v) · A medication log shall include the date of administration.

The medication log for Child #5 was lacking the "Date of Administration."

Corrected by May 8, 2025

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3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The two most recent health assessments for Staff #3 and #5 were dated more than 24 months apart. (SEE LIS CODE SHEET)

Corrected by May 8, 2025

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3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The facility's fire alarm test report documented testing of the fire alarm system between: 07.13.2024 - 08.14.2024 (32 Days); 10.11.2024 - 11.12.2024 (32 Days); 01.10.2025 - 02.14.2025 (35 Days). The tests conducted were more than 30 days apart.

Corrected by May 8, 2025

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3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The Initial Child Health Report for Child #2, enrolled for more than 60 days, was lacking from the child file. (SEE LIS CODE SHEET)

Corrected by May 8, 2025

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

There were floor to ceiling panels of netting secured together with zip ties hanging in the gym that posed a potential strangulation hazard for children in care. There different sized cots stacked more than 3 feet high in room #3 that posed a potential tipping hazard. There were loose sheets observed in (4) pack n plays that posed a potential suffocation hazard for the children who were using the equipment.

Corrected by Jul 15, 2024

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3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The facility's parent letter did not explain their lockdown procedure and how they plan to provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Corrected by Jun 10, 2024

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Staff #1 did not participate in fire safety training at least once annually during the period between 11/14/2022-12/27/2023.

Corrected by Dec 27, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The record for staff #3 included a disclosure statement that was not dated. The record for staff #4 included a current FBI clearance dated 5/29/2024, which was more than 60 months following the date of their previous clearance on 11/6/2018. The record for staff #5 included a state police clearance dated 2/19/2024; a child abuse clearance dated 2/20/2024; an FBI clearance dated 2/22/2024; and an NSOR verification Certificate dated 4/17/2024, which was following their first day caring for children.

Corrected by May 31, 2024

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3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The director did not complete a minimum of one written evaluation for staff #2 during the period between 11/23/2022-12/15/2023.

Corrected by Dec 15, 2023

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

The following cleaning materials labeled keep out of the reach of children were observed in areas accessible to children in care: (2) containers of Clorox wipes were sitting on the ledge of the half wall between the storage area and the hallway; A container of Clorox wipes and (2) cans of Lysol disinfectant spray were in an unlocked cupboard by the entrance to room #5; A Swiffer Wet Jet containing cleaning fluid was observed propped against the wall in the hallway outside of the bathrooms; A can of Lysol disinfectant spray and bottle of all purpose cleaner was observed on ledge of the half wall between the hallway and room #3; and a container of Clorox wipes and can of Lysol disinfectant spray were observed on a shelf in room #6.

Corrected by May 31, 2024

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3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

There were 20 ceiling tiles throughout the facility (6 tiles in room #1, 1 tile in room #3, 3 tiles in room #4, 9 tiles in the hallway and 1 tile in the PS room) that appeared to have sustained damage from a previous water leak.

Corrected by Jun 24, 2024

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3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

The thermometer placed in the refrigerator in the kitchen area was not operable.

Corrected by May 31, 2024

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact information for child #4 did not include their health insurance policy number.

Corrected by Jun 4, 2024

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3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

A parent did not review the emergency contact information for child #1 once in the last 6-months. A parent did not review the emergency contact information once in a 6-month period for child #2 between 7/17/2023-4/19/2024; child #3 between 6/1/2023-4/19/2024; and child #4 between 6/26/2023-5/29/2024.

Corrected by Jun 6, 2024

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3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The record for child #1 lacked a current health report.

Corrected by Jun 6, 2024

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3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The record for staff #5 included a current health assessment dated following their first day caring for children.

Corrected by Jan 22, 2024

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3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

A parent did not review the financial agreement for child #1 once in the last 6-months. A parent did not review the financial agreement once in a 6-month period for child #2 between 7/17/2023-4/19/2024; child #3 between 2/24/2022-4/19/2024; and child #4 between 6/26/2023-5/29/2024.

Corrected by Jun 6, 2024

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3270.94(a)(9) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

The fire drill log did not include the hypothetical location of the fire.

Corrected by Jul 15, 2024

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3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The fire detection system was not tested at least once every 30 days during the following time periods: 7/17-8/17/2023; 9-15-10/30/2023-12/15/2023; and 1/12-2/15/2024.

Corrected by May 31, 2024

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3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #7 must be supervised, when interacting with children, by an (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility.

Staff person #7 was observed to be caring for children unsupervised. Staff person #7 has not completed the following pre-service training required prior to caring for children unsupervised: Acceptable first-aid/CPR training.

Corrected by Jul 7, 2023

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3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The file for staff persons #1, #3 through #6, #9 through #12 and #14 included a 1 hour health and safety training dated after 12/30/22. All staff were hired before 10/4/22

Corrected by Jun 7, 2023

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3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

The facility had general liability insurance, but there was not a current copy of the policy on file at the time of the inspection.

Corrected by May 31, 2023

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3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

One of the letters of reference in the file for staff person #9 was written by the individual's spouse.

Corrected by May 31, 2023

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3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

One loose crib sheet was observed in the Infant Room. In the Toddler Room, an unlabeled pack n play was observed to also have a loose crib sheet posing a risk of suffocation. In the Gross Motor Room, the DJ Booth had sharp, wooden corners which poses a cutting hazard.

Corrected by Jul 7, 2023

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3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The last two emergency plan trainings in the file for staff person #2 were dated 6/15/21 and 9/1/22. The last two emergency plan trainings in the file for staff person #3 and #10 were dated 6/14/21 and 8/26/22. The last two emergency plan trainings in the file for staff person #5 were dated 6/1/21 and 5/11/23.

Corrected by Jun 28, 2023

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The last two fire safety trainings in the file for staff person #10 were dated 11/11/21 and 11/14/22.

Corrected by May 31, 2023

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3270.31(f) · : Staff person(s) shall complete professional development in the topics of 3270.31(f) within 90 days of hire. Staff person #7 will have until to complete the required training. Until such time as the required training has been completed, staff person #7 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #7, staff person #7 may not work in a child-care position at the facility.

Staff person #7 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): First-aid/CPR training.

Corrected by Jul 7, 2023

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3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

The health and safety training in the file for staff person #4, hired (SEE LIS CODE SHEET) was dated 7/21/22. The initial first-aid/CPR training in the file for staff person #9, hired (SEE LIS CODE SHEET) was dated 6/18/22. The initial first-aid/CPR training in the file for staff person #11, hired (SEE LIS CODE SHEET) was dated 12/30/23.

Corrected by May 31, 2023

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The mandated reporter training in the file for staff person #4, hired (SEE LIS CODE SHEET) was dated 7/1/22. The mandated reporter training in the file for staff person #4, hired (SEE LIS CODE SHEET) was dated 10/21/22. The last two mandated reporter trainings in the file for staff person #9 were dated 2/18/18 and 5/1/23.

Corrected by May 31, 2023

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person #7 and #16 may not work in a child care position at the facility. PROVISIONAL HIRE UNSUPERVISED: A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #7 and #16 may not work in a child care position at the facility.

The file for staff person #7, employed more than 45 days, did not include a state police clearance. Staff person #7 was observed alone briefly at nap time.The file for facility person #13 included a disclosure statement from a previous employment period.

Corrected by May 31, 2023

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3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The last two evaluations in the file for staff person #5 were dated 11/23/21 and 5/1/23. The last two evaluations in the file for staff person #12 were dated 11/5/21 and 11/23/22.

Corrected by May 31, 2023

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3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

In the Pre-School, on top of the filing cabinet, a bottle of "Babyganics" Hand Sanitizer was labeled, "Keep out of the reach of children" was accessible to children while in the room. In the childcare office, a bottle of Lysol (All Purpose Cleaner) and Vitaloxide (Commercial Disinfectant) were both labeled, "Keep out of the reach of children," was accessible to children while in the room.

Corrected by May 31, 2023

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3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

In the Gross Motor Room, the carpet between the two poles, in the middle of the room, was observed to be fraying and poses a tripping hazard.

Corrected by May 31, 2023

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3270.82(h)/3270.134(a) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility. A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

After diapering a child in the infant room, a staff person did not wash the child's hands.

Corrected by May 31, 2023

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3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the Toddler Room, left of the entrance and next to the garbage can, the lid on an all-blue bin was missing a piece of plastic which poses a cutting hazard. In the Toddler Room, on the left wall, a white shelf with Pink, Purple and Green Bins was very loose posing a toppling hazard.

Corrected by May 31, 2023

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3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

There was an unlabeled pack n play in the toddler room.

Corrected by May 31, 2023

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3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

There were no services listed on the agreement form in the file for child #1 and #3.

Corrected by May 31, 2023

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3270.124(b)(4)/3270.182(3) · Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record shall contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

The emergency contact form in the file for child #3 did not include consent for emergency medical care.

Corrected by Jul 7, 2023

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3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

The infant room lacked the required emergency contact information for child #1 who was receiving care in the space.

Corrected by May 31, 2023

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3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The last update in writing by the parent on the emergency contact and agreement form in the file for child #2 and #4 was dated more than 6 months ago.

Corrected by Jul 7, 2023

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3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

In the infant room, a bottle of acetaminophen labeled for child #1 was lacking a medication log. A bottle of Hyland's Cold and Mucus medication for child #2 was lacking a medication log.

Corrected by May 31, 2023

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3270.182(5) · A child's record shall contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

The emergency contact form in the file for child #3 did not include consent for minor first-aid.

Corrected by Jul 7, 2023

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

The following fire drills were conducted more than 60 days apart: 7/13/22 and 1/16/23; 1/16/23 and 4/28/23.

Corrected by May 31, 2023

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3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The following testing of the facility's fire detection system were more than 30 days apart: 3/24/22 and 5/2/22; 5/2022 and 7/14/22; 7/14/22 and 8/15/22; 9/20/22 and 10/25/22; 10/25/22 and 1/10/23; 1/10/23 and 3/8/23.

Corrected by May 31, 2023

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3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

2nd citation: Facility person #16, who is occassionally on site, did not receive training in the facility's emergency plan. Based on conversation with the operator, facility person #16 has an office on the child care wing of the building and perform duties related to the child care facility. Previously cited on 5/20/22.

Corrected by Aug 25, 2022

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3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #16 may not work in a child care position at the facility.

2nd citation: Facility persons #16, who is occasionally on site, does not have a signed disclosure statement or any of the required clearances on file. Facility person #18, does not have a child abuse, FBI or NSOR clearance on file. Based on conversation with the operator, facility person #16 and #18 have offices on the child care wing of the building and perform duties related to the child care facility and are still using those offices. Previously cited on 5/20/22.

Corrected by Aug 25, 2022

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3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

2nd citation: Based on review of the facility's 30-day testing log, the last 3 tests were conducted more than 30 days apart. Previously cited 5/20/22.

Corrected by Aug 28, 2022

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3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact information in the file for child #3 did not include a work address for the child's mother and father.

Corrected by Aug 22, 2022

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3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

There was a short cabinet near the TV screen in the toddler room that tipped over when drawers were pulled open.

Corrected by Aug 22, 2022

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3270.123(a) · An agreement shall be signed by the operator and the parent.

The agreement in the file for child #3 was not signed by the operator.

Corrected by Aug 22, 2022

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3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact information in the file for child #3 did not include a complete address for the child's physician, as there was no city or zip.

Corrected by Aug 22, 2022

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3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Facility persons #16, #17 and #18 did not receive training in the facility's emergency plan. Based on conversation with the operator, facility person #16 and #18 have offices on the child care wing of the building and perform duties related to the child care facility. Facility person #17 does not perform duties related to the childcare facility, but shares an office with the childcare director, which is in the childcare wing of the facility.

Corrected by Aug 22, 2022

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3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

The current first-aid/CPR training in the file for staff person #1, #2, #4, #6, and #7 was taken after the previous training had expired.

Corrected by Aug 22, 2022

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3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The last two fire safety trainings in the file for staff person #1 through #5, #7 and # 8 were dated slightly more than 12 months apart

Corrected by May 20, 2022

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3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(1 -- 10). Staff person #5 , #8 and #9 will have until 7/19/22 to complete the required training. Until such time as the required training has been completed, staff person #5, #8 and #9 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, #8 and #9, staff person #5, #8 and #9 may not work in a child-care position at the facility.

Staff person #9 has not completed the following required pre-service training within 90 days of their date of hire: First-aid/CPR. The first-aid/CPR training in the file for staff person #5 and #8 was expired.

Corrected by Jul 5, 2022

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3270.32(a)/3270.192(4) · to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #16, #17 and #18 may not work in a child care facility.

The last two state police, child abuse and FBI clearances in the file for staff person #2 were dated more than 60 months apart and the individual continued to work with expired clearances. The file for staff person #11 included a state police clearance that was dated approximately 6 months after the individual began working with children and did not include proof of request for the clearance before the individual began working with children. The NSOR and proof of request for the NSOR were both dated after the individual began working with children. The proof of request for the NSOR in the file for staff person #12 and #13 was dated after the individual began working with children. Facility persons #16, #17 and #18 did not have a signed disclosure statement or any clearances. Based on conversation with the operator, facility person #16 and #18 have offices on the child care wing of the building and perform duties related to the child care facility. Facility person #17 does not perform duties related to the childcare facility, but shares an office with the childcare director, which is in the childcare wing of the facility.

Corrected by Aug 22, 2022

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3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person #10 and facility persons #16, #17 and #18 will have until 7/19/22 to complete the mandated reporter training. Until such time as the required training has been completed, facility person #16, #17 and #18 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #10 and facility person #16, #17 and #18 may not work in a child-care position at the facility.

Facility persons #16, #17 and #18 has not completed the mandated reporter training within 90 days of their date of hire.

Corrected by Jul 19, 2022

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3270.32(a)/3270.192(2)(iv) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

The last two mandated reporter trainings in the file for staff person #2 and #4 were dated more than 60 months apart. The mandated reporter training in the file for staff person #10 was dated beyond their first 90 days working with children.

Corrected by May 20, 2022

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3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The last two evaluations in the file for staff person #1, #2, #3, #5, #6, #7 and #8 were dated more than 24 months apart. The evaluation for staff person #3 was due when the individual was on leave but an evaluation wasn't completed until approximately 6 weeks after the staff person returned.

Corrected by May 20, 2022

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3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact information in the file for child #1 did not include any health insurance information.

Corrected by Aug 22, 2022

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3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact information in the file for child #2 and #3 did not include addresses for the three release persons.

Corrected by Aug 22, 2022

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3270.131(d)(1) · A health report shall include a review of the child's health history.

The health report in the file for child #3 did not include a review of the child's health history or health problems, a statement that the child is suitable to participate in childcare and free from communicable disease and that the child is up to date with the AAP's recommendations for developmental screenings.

Corrected by Aug 22, 2022

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3270.131(d)(4) · A health report shall include an assessment of an acute or chronic health problem or special need and recommendations for treatment or services, including information regarding abnormal results of screening tests for vision, hearing or lead poisoning.

The health report in the file for child #3 did not include a review of the child's health history or health problems, a statement that the child is suitable to participate in childcare and free from communicable disease and that the child is up to date with the AAP's recommendations for developmental screenings.

Corrected by Aug 22, 2022

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3270.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

The health report in the file for child #3 did not include a review of the child's health history or health problems, a statement that the child is suitable to participate in childcare and free from communicable disease and that the child is up to date with the AAP's recommendations for developmental screenings.

Corrected by Aug 22, 2022

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3270.131(d)(8) · A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

The health report in the file for child #3 did not include a review of the child's health history or health problems, a statement that the child is suitable to participate in childcare and free from communicable disease and that the child is up to date with the AAP's recommendations for developmental screenings.

Corrected by Aug 22, 2022

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3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The initial health report in the file for child #3 was dated beyond the child's first 90 days of attendance, as required by the COVID suspension of regulations.

Corrected by May 20, 2022

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3270.131(e)(2)(i) · Exemption from immunization for religious belief or strong personal objection equated to a religious belief shall be documented by a written, signed and dated statement from the child's parent or guardian. The statement shall be kept in the child's record.

The last flu shot in the file for child #2 and #3 was dated in 2020 and neither file included a written statement of exemption by a parent.

Corrected by Aug 22, 2022

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3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

There was a bottle of expired ibuprofen for child #3 in the preschool room.

Corrected by May 20, 2022

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3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The last two health assessments in the file for staff person #6 were dated more than 24 months apart.

Corrected by May 20, 2022

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3270.151(b) · A health assessment shall be conducted and a report shall be written and signed by a physician, physician's assistant or CRNP. The signature must include the individual's professional title.

The health assessment in the file for staff person #5 did not include the professional title of the individual who signed the form. It was later determined that the individual was a chiropractor.

Corrected by Aug 22, 2022

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3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Facility persons #16, #17 and #18 did not have two letters of reference. Based on conversation with the operator, facility person #16 and #18 have offices on the child care wing of the building and perform duties related to the child care facility. Facility person #17 does not perform duties related to the childcare facility, but shares an office with the childcare director, which is in the childcare wing of the facility.

Corrected by Aug 22, 2022

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3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Based on conversation with the operator, an emergency drill has not been conducted in the last 12 months.

Corrected by Aug 22, 2022

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3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

The first-aid/CPR training in the file for staff person #10 and #11 was dated beyond their first 90 days working with children.

Corrected by May 20, 2022

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3270.31(h) · All staff persons shall complete the professional development under subsection (f).

In the file for staff person #10 and #11, the training on health and safety topics #1 through #9, as required by regulation 31f, was dated beyond their first 90 days working with children.

Corrected by May 20, 2022

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3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Based on review of the fire drill log, there were two occasions since June 2021 that fire drills were conducted more than 60 days apart,

Corrected by Aug 22, 2022

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3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

The hypothetical location of the last two fire drills documented on the fire drill log were both listed as "front door."

Corrected by Aug 22, 2022

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3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Based on review of the facility's 30-day testing log, the last 3 tests were conducted more than 30 days apart. The facility did not have proof of purchase of their fire protection system.

Corrected by Jul 14, 2022

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3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Based on conversation with the operator, parents have not been provided information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

Corrected by Aug 22, 2022

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3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The initial health report in the file for child #3 was dated beyond the child's first 90 days of attendance, as required by the COVID suspension of regulations.

Corrected by Aug 22, 2022

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